Poffo Robinson, Toschi Alisson Parrilha, Pope Renato Bastos, Celullare Alex Luiz, Benício Anderson, Fischer Claudio Henrique, Vieira Marcelo Luiz Campos, Teruya Alexandre, Hatanaka Dina Mie, Rusca Gabriel Franzin, Makdisse Marcia
Einstein (Sao Paulo). 2013 Jul-Sep;11(3):296-302. doi: 10.1590/s1679-45082013000300007.
To evaluate the short and medium-term outcomes of patients undergoing robotic-assisted minimally invasive cardiac surgery.
From March 2010 to March 2013, 21 patients underwent robotic-assisted cardiac surgery. The procedures performed were: mitral valve repair, mitral valve replacement, surgical correction of atrial fibrillation, surgical correction of atrial septal defect, intracardiac tumor resection, totally endoscopic coronary artery bypass surgery and pericardiectomy.
The mean age was 48.39±18.05 years. The mean cardiopulmonary bypass time was 151.7±99.97 minutes, and the mean aortic cross-clamp time was 109.94±81.34 minutes. The mean duration of intubation was 7.52±15.2 hours, and 16 (76.2%) patients were extubated in the operating room immediately after the procedure. The mean length of intensive care unit stay was 1.67±1.46 days. There were no conversions to sternotomy. There was no in-hospital death or deaths during the medium-term follow-up. Patients mean follow up time was 684±346 days, ranging from 28 to 1096 days.
Robotic-assisted cardiac surgery proved to be feasible, safe and effective and can be applied in the correction of various intra and extracardiac pathologies.
评估接受机器人辅助微创心脏手术患者的短期和中期结局。
2010年3月至2013年3月，21例患者接受了机器人辅助心脏手术。所实施的手术包括：二尖瓣修复、二尖瓣置换、房颤手术矫正、房间隔缺损手术矫正、心内肿瘤切除、完全内镜下冠状动脉搭桥手术和心包切除术。
平均年龄为48.39±18.05岁。平均体外循环时间为151.7±99.97分钟，平均主动脉阻断时间为109.94±81.34分钟。平均插管时间为7.52±15.2小时，16例（76.2%）患者术后在手术室立即拔管。重症监护病房平均住院时间为1.67±1.46天。无一例转为胸骨切开术。无院内死亡或中期随访期间死亡。患者平均随访时间为684±346天，范围为28至1096天。
机器人辅助心脏手术被证明是可行、安全且有效的，可应用于各种心内和心外病变的矫正。
